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HomeMy WebLinkAbout1110 __�______--..._.. - -- _._._._--- _ - _ .. ._. _..„,___.�,,..� .. , . r-•+... '!'� ,, ,Y : � : CITY 4F ptAMOND.BAR`�'' PRESS --- � - DEPARTMENT OF BUlLD1NG AND SAFr�1`Y ��RMLY � BUILDlNG PERMiT JOBSITE � � APPUCATION��y PERMIT v SE ADDRESS ���E N�U��R�CODE � APN LOT TRACT DATE �'2� �g� CONSI: GROUP � e CR05S STRE T ZpNING SETBACKS "'10"�"�'^S °� OWNER FRONT R'W ❑ o ADDRESS � REAR ❑ W CITY,C�fl�.a--IfJa-..K ZIPa1��TEL.2� S�DE/SIDE STREET RW D � APPLICANT TEL. � SIDE ❑ 0 z � CONTRACTOR �` SEWAGE ❑ pUBUC PMT# o ADDRESS • DISPOSAL „� CITY Z�p T � ❑ PRNATE SQ.FT./100 GAL y L1C NUMBER C"" ��-' y 1-ea 3�� ��!� GRADING ❑ CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ � TYPE SQ FT FAC'TnR .PS AC�1. AR ALUATION � DESIGNER �('�/�'� ��— 1a.� 1 7. �IO � `- W ADDRESS _ , v c� 1 _�� � 2 � J, L 1(J Z CITY ZIP��T ..�? (�j 3 C . � 5�1.,� ' o PROPOSED USE � 4 � I 6���0 � ► !'. ,,,,� GARAGE o NO.DWEL. NO. NO. � pORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS � VALUATION ADJ.AREA o NO.OF BLDGS H�w QUANTtfY DESCRiPT1UN FEE W ON LOT USED ,; � W ❑ � H UCENSEU CONTRACfORS OECIARATION I Mre6y�Ftirm Mat I�m Gcenwd mMn prov4tions ol Chspb�9�comm�ncny � Y witA Secuon 7U00)af Urv�sion 3 M Me Businesa md Protestiona Code,�nd my license q in lull 1o�ce anE elfect � ❑ W � OWNEB�BUILOEfi OECLMATqN I herehy�11um tAat I am eumD�fram the Conirutor'�Leen�e Law loi�he Idlawmq nasan(Sea 7031 5.Busness oM Violass�on�Cude Any nlp w caunty whKh requvp�permn p construct, (�j o sher imp�we,demolish,w repav airy a�unwe.D��a�ro na nswnce,�lao npuues be apphc�ni foi such permn Z r= m tik a sgned et�rement that he is I¢ensed punumi m ihe pw�sians d the Canvxmr's Lcrose L�w IChop�n � p4e 9 Icanmennng wah Secuon 7000)ol pvieion 3 al Me Busmest md PrDhssrons Cade)or Ilut ha i��nmpt Muehem � � mtl t�e 6ass la�Ihe allegerl eaempuon A�ry violauon ol Secna�7031 5 hy my�pplram tw�permn w6�sa1� � °iC tM aoD�����t to a cnd penailv of ript more than frve hundred doll�q(f50011 a W � ❑I as owr�ei ol the proper�y,oi my emploYees wit�weges ai tMn�ok wmpensanon will l0 1he we�k,�nd the strucmre rs not mtended m olhred for sale�Sec 7014,Buamess and Pmfessnns LaUe Tke Canrac�o�'s license � � Law daes rot aoDM ta an owner ol properlY wha huilds or impwe�Ihereon.eM who does sue�worle Mmvlf. W w throuyh his own employees,prowded M�I auch mprwements eie iq1�nhndM a oflered br sak 11,howewr, � m �he bu�ldinp a improrement ia sold wiMin one year ol complelion.[he ownerbmldei wiY hare Ihe burdm ol prwng y that he db not Eudd a imDrove for�he pur0oee of uk.l (Z� V� ❑I as vwnei ol the praperty.�m eycluvvely conuacluy wnA 6tenstd ronnutna 1a construct Ihe yqect f5K fj! 0 7044 Bumness and Prolasanf Code Tk Comracm�'�lieenu L�w does not apply 10�n ow�rcr ot p�pperq who � 6 IuiMs or�mproves mereon.and wha conlroas Im sucA pm�ects wnn e convacioq7�icrosN purswm n m�CmLuta'f Licenu Law 1 ' C J ^� ` ❑I am memot under Sec .B 6 PC IAnxh Ce�eleate� LAN REVIE A(���.� I �� . l � 0 oa�e uxMr ELECTRIC y WOflKERS'COMPENSATION OECLAflATIW I here6y ath�m thai I hwe a rsrfificme of eonem�ta tdl-wue.a a cern�ican al u.b�te�s'Compensauan InsWance,a��cttol�ed rapy theraal ISec�eaa.��n e i. PLUMBiNG t ❑Cended copy rs hereby turnished J MECHANICAL d ❑Grnikd capy is hled wnh the BuYdmg Inspetnm Orpartm�m d Mp�«sm � GRADING W � CENTIFICATE OF EIfEMVTION FROM WIXiKEflS'COMPENSATON W$URANCE Tlw�ecxon nwd not M�a�pNiad - y A �he o�rmit is 1nr on hundnd(SiD01 a 4ss.I ceruly thrt m tM1e pslo�mance of the wort fw whrh Mn permn u issueC.I shali rot emqoy my perwm m�ry m�nar so�t ta Eecome wblK�te�k Nbrkeri Canpens�tion I ,� � Law:ol c9�romn . = PARK FEE p �ate Apphcant W JNOTCE TO APPLICANT N ,u.�m.k��a m�s c�niw�u ei e.�ono�.�,�n�,aa e��„�,„e�,ro e.�„�e;, � SCHOOL FEES Campensation povis�ona at Me Lehor Code,pu mu�t IpMMeh mmply wiM such pw4pnf w IM1�e pimh 1��E � x eeemea revated � p� pViSI01C OF INWSfRU1l SAFFTY VFRMIT CERTIFICATION w 0 ❑I here6y certAy thet no e�cewnon hve�5�a more leet in Oopih wro whth�persm n�purod W iacwid, � wiY be maae m connectwn wnh wvrk�uMavel 6y 1Ars oerm�t�nd th�l m huiWnp=putlure.tCafloWinp.f��woik. a demoheon m d�smm�hnp�Mrea(wAI Ee more Mm Mrtry-siz{38�Mt Aph �CMo�7 7.Gry t,Art 2,Su W 341.TMe 8.C.A C 1 S 3 ❑As owmr-Wider.1 wiA m��mpbY wWM fo do worl wheA wauN rpmn�ymm�6om IM piryim ol � Indus�rwi Selety,as noted s6ow,unkss su�h qrson Ms a pe�mn tD Oo such work han tlie Imtwn. � �� ❑a.�s,��,��,t«�.�5.n�,Mm��No. TOTAL FE ES `J CONSiRUCfpN LENpNG AGEKY,I MreGy Nhrm tlut Neie p�mmOucLon Mndnp pencY br IM prbmunu = M iAe work ta whKh Ih��pxmit i�usued ISae 70BT,Civ.C). tl <<��S�� COMMENTS p c q r�-a-aR` m i.�„aea,.�. ` CFRTIFC/.iE 6 COMPl1AliF ANO AUTIqNIAibJ OF ENTPY 1 qrtily I Mve ned Yw�ppkMim md nMe � tha Me infamNtan�wn o canct I a�pee to mmply wM aW m1e Iws Md Ciry adiiwrz�a nl�mp W 6uiltlinp � y canstrunan.ntl wtlwrue�nOnxnimw of IRe Opartmont al BuiWinC�d S+h1Y 1e MMr pm 1M P��Y � lor wMth I Asve�ppled M Mrs oermn b Me pryme d m�kinp wapsmni. XSpiuture d ApplKant d�pem p�p RECPT NO.��PAID BY VAUDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Asseswr Copy,GOLDENROD—File Copy,GREEN—Applica�Capy B5108-11l89 �.�.�ww...+r,Y.Ae�. -, . `--�----- .. - • • � . . ,".,., �tR , --� �:. . n �.��wrc� �'.���������;������ ���.��:• �� ��:'fi``�p�r.��"� �� �`��.��"��� ��,p: . ,a,:..�. .. >�.. ,�»: • F�z� °�,�" y .;°�, ,x' -`.�°�;:•.t�^'� ,�`$. � ..„,r�:*;-.. }� . . `�`�,`f, 'i�' !1'e �.�.:T" �. �+ ",''�tl, :�`_',�'�S��S� . 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